Provider Demographics
NPI:1093799751
Name:TOBER, ROBERT BOYD (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:BOYD
Last Name:TOBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6400 DAVIS BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34104-5321
Mailing Address - Country:US
Mailing Address - Phone:239-403-2600
Mailing Address - Fax:239-403-2602
Practice Address - Street 1:6400 DAVIS BLVD STE 104
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34104-5321
Practice Address - Country:US
Practice Address - Phone:239-403-2600
Practice Address - Fax:239-403-2602
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME30891207P00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL069893800Medicaid
FLGX420ZOtherMEDICARE
FL11106OtherBCBS
D61586Medicare UPIN
FL069893800Medicaid